Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $48.22 / $71.23	Facility		$18.50	$48.22	$71.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $32.03	Professional		$18.50	$18.50	$32.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $23.13 / $23.13	Professional		$23.13	$23.13	$23.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $16.96 / $27.29	Facility		$13.62	$16.96	$27.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $11.04 / $33.28	Professional		$9.38	$11.04	$33.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $23.13 / $31.23	Facility		$11.63	$23.13	$31.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $30.07 / $31.23	Professional		$19.66	$30.07	$31.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $23.81 / $55.78	Facility		$15.03	$23.81	$55.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $23.38 / $51.22	Professional		$18.97	$23.38	$51.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $23.81 / $84.79	Facility		$15.03	$23.81	$84.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $23.22 / $51.22	Professional		$15.19	$23.22	$51.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $17.35 / $27.76	Professional		$9.22	$17.35	$27.76
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $13.88 / $30.55	Professional		$9.71	$13.88	$30.55